, ,. . ,
<br /> RIO'f�'ICE OF DEED RESTRICTIANS: �he undersigned undergtands�:th�t.thi�:.��rmi�may.be,�ubJ�ctto,°deed"restrictions" _ _
<br /> which rte�y be-more�r.estirictive-th�rt Countyi�:re�i�latfons. �The i�nderslgn�d assume�responsibtlity"for-compliance wltf�any
<br /> appllcable deed restrictlon�. � � - � �
<br /> RA�I�.ICI�P�S�D-COMTR�IC�O�S e4ND CONfi�ACT'OR���L�E�AN�S�I�;S'TIE�: If the owner has°•hired a contractvr or
<br /> conQractors to undertake arork, they.may�be:r.equired=to-:be;licensed In.accordance.with_state.and=local regulatlons. !f the-
<br /> eontractor 6s not�licensed_as required�tiy law� both�the obrn�r and:cont�actor may�be�c(ted=for a�ml"sdeme�nor violation
<br /> und�r state law. If the owner or Irotended>conVac�ton�are<t�nce�tain as to what Ilcensing.requtrements:may appiy-�for�the •
<br /> intended work�they are advised to contact the.Pasco County�ullding�Inspection Dtvlslon—Llcensing SecNon et 727-847-
<br /> e00g. Eutthennore, tf the owner has hlred`� conlractor o�contractors, he is advised to have the contractor(s) sign
<br /> portions of the"contractor Blac�" of.t6�is.appilcation.for vdhich they wilt be re�pon�ible. It you�.as.#he o�timer"sign�as t0ie
<br /> contractor, thet inay be an IndicaQiora"th�t fie�Is not':properly Hcensed �nd is not end8ed to�permftting privlleges in Pasco
<br /> Count�.
<br /> ��R9�PARTIITION�II�IPACTIU4I�.ITIE�`IMPAC'�Ai�b-i�ESOI�iRCE REI�OVI�RX�EES: T#�e�understgned understands
<br /> ghat Transportation Impact Fees:�nd.Reco.urse Recode.ry.Fees may�apply�to:tf�e construction;of new_butidtngs��change of -
<br /> use in existing bullding�, or.expansi�n��o�`eiitsti�i�'�6uildings, as �pectfled.in P�sco County Ordinance number 89-07 and
<br /> 90-07, as amended. The underslgned also:Wnderstands; thaE:such fees.=.as�may:be�due;:wlil:-�be 1deMi�ed at the�#ime�of-
<br /> permitting. It fs further underst�od th�t Transportation Impact Fees anc#�Resource.Recovsry�Fees.must be paid prior 40
<br /> recetving a°certi�c�te of�occupancy° or fln�l power.r�lease. :I�the proJ�c�,does�not-involv�:a�.certfficafe of occupancy.ar•>� -
<br /> fiinal power retease; the fees mus�Q be paid=.prlor to permit Issuanc�. F�thermore;-If.P�sco:Couniy 1Nater/Sewer Impact
<br /> gee�are due,they.must be�pald-p�lor to permit�-Iss�anee�in accordance witlT,applicabfe Pasco��County ordina�ces. •
<br /> i LI N LAW Cha� ter T13 Florld��t�tut�s ��amended : if v�luatlon of work is$2�500.00 or more, I
<br /> cCOM�TI3UC'�OM E ( p � � �
<br /> certify that I, the applicant,. have-been prQivided with-a copy�of�the�°Florida--Construction� Lten .L�w—Homeowner's
<br /> Protection Guide" prep�red by the Flo�ida Depgrtmer�t�of�►griculture and ConsumerAi�a(rs. If the appltcant is_someone
<br /> other than the`o�rner" 1 cert that I�h�ve,optained-a co :of:xhe above r�escribed°�Jocu�ent°and...r.omise�in, ood#aith to
<br /> � . �Y . PY. , . P g
<br /> deliv�r It to the.'owner."�prlor to•commencement. � ' - . � � .
<br /> ��RlT��TAR'SIOVV{esER'�d�FFl9�►l/IT: 1.ce�tlty�ttiat ail,the�:.inf�rmation:l�-thl�application is accura�te_and that all work
<br /> v�ill�be done in compitgnce with all�appitcable laws regulating consiructlon. zoning and:�land�development. Appitcation is
<br /> her�by made to obQain .a.permit fo do_:w�rk>and Installation as indi�afed:�- �I certify that no work'or_ Installation has -
<br /> commenced prior to Issuance of a permit'and that.all work w9il b� performed�to meet-standards ofi all laws regulating-
<br /> construction, County and City codes, zoning regulatians� and land development regulatlons in th�jurisdtction. 1 also
<br /> cerQi�y that I underst�nd tha�th�regulatlons of other�govemment agencies m�y�apply�to the intended work� and that it is
<br /> my respon�ibiliiy to identify�what,actions I must•take:to be�in�compl�ance;_Such agencles include b�t-are.not Ilmited 40:
<br /> - Department og Et�dironmental Protect6on-Cy�ress.�Bayhead�; !lU�Nand Areas and Envlronrv�entaliy Sensitive
<br /> Lands,WaterNVasteevater Treatment. .
<br /> - Southwest Florida Watee Managern�nt:bistrict 1Mells, Cypre�s.''Ba�y.heads; �!letiand Areas� Altering
<br /> Watercourses. �
<br /> - Army Corps of Engineers-�eawalis�Doc�s,PVadlgatile WatenR►ays. I,
<br /> - Department of Health�:8 ReY�abllltative �ervices/�ndironmen#�I Flealtb Unit VV�II.s, Wast�v�ratac�Treatm�nt, '
<br /> Septic Tanks. � � � -
<br /> - US Environmental Protectton Agency-Asbestos abatement
<br /> - Federal AviaQvn:Authority=i�unways.-
<br /> I und��stand that the following.°�estrlctlons apply to ihe us�of flll:•
<br /> - Us�og flll is not allowed in Flo�d�Zv.ne"V"unless expre�sly permitted.
<br /> - If the flll materiai is to be usetl_ in �flood Zone. "A°, (t. is understood that a drainage plan addr�ssing a
<br /> °compe�sating volume"will be submift@d at#ime og permEtttng which is prepared by a professional �ngin�er
<br /> Ilcensed by the State of'F�o�ida:
<br /> - If th� fill material ts�to be used tn Ftood �ona °A° !n�connection�wlth:a �ecmit��d buflding using stem vuali ,
<br /> ' construction, i certify that flll.wall:be used only.to fill the area-withtn�the�stem tivall.
<br /> - If fill material ts to be used-in .any area, 1 �ceNl�jr th�t .use. of such flll will not adve�sely affect adjacent
<br /> properties. If use of flil is found to adverseyr.-�ffect adJacent�prc�perties�.the owner may be c(ted tor viotating
<br /> �he condifions.of the b�flding:permit issued�under Qha attached,permit application, for:.lots less-than:one (1)
<br /> acre whtch�re elevated�by flll;a�t�ngineersd drainage plan I�r�quired. •
<br /> If I�m the�GENT EOR'II'H�OWNlE�, i;.promis�in good faith to tnform the owner of�the perrriitting cond�lons set forth tn
<br /> �.
<br /> this affidavit`prior to commencing const�uctton. i understand that.a�separate permit may be requtred for electrtcal work.
<br /> v
<br /> pluenbing, signs� wells�.poolsi alr condttioning,-.g�s; or otF�ec Install�Nons nok spec�flcally (nciu�led-tn.QMe applic�t6on. .A
<br /> I Permit issued shall be cor�strued to be�a�Ilcense to=preceed wfth"tNe work�nd not as.authoNiy to.violate��cancel. alter, or .
<br /> s�t asid�eny provlsions o�the.techntcal codes;�nor shall issuance�of a.permit.prevent th�Bulidirig Offtciai from thereafter
<br />� P�quiring a correction af eRors In��plans; constiuction or vtolaBons of any codes:- Every�p�ermtt lssued"shail become.invalid '
<br /> unles� the work authoriz�d:by such permit:�s_commenced•�riQhtn sf�,months of�permit lssuance� or ff vHork authorized by
<br /> �he pernnit is suspended�or.abaado�ed-fora�:perlod of�six�)�montfis.after the tirne the�wotk>is commenced. An extension '
<br /> may be �equested, in wtittng,from the Buflding.Official for a period.�not to exceed-ninet�r�(90j days a�d will demonstrate
<br /> ju�tifi�bl�r.aus�for-�the extensior�. If work.ceas�es.for ninety.(90)cons.�cutive:days._tt�\)ob�is considered aba�doned.
<br /> �@�l��IRl� T� ��!lMER: vOUi��FA1LUitE-TA.RECAltQ A_A4�TIGE:OF�GOMMEi�CEMEMT�61fFAY-RESt�LT IM YOUR
<br /> ��VRMC'�lIC@;�OR IidIPROVEMEN�'S T��f�UR�<PRL�PERTY. 1�°YO.U, .�EWDrTO'OB�A1N�FIN�(�E1NG;�ONSULT
<br /> RflfITH ��1R LE D :O. Id- �R El� F�R � OR� G�� O � .O .;- � � � E
<br /> FLORIDA JURA��(F.S: .03 - - � ' ' - � � '' ' � �� _
<br /> OMMER OR AOENT CONTRACTO -
<br /> Subsalbed and swam (or aflirtned)before me this Su6scribed�and'swom�to(ot aflirtned)'b �me'ttii8 .
<br /> by .�y... . �
<br /> Who is/are personaliy known to�me or haslhave produced. Who.ls/are p.ersonallyJmown•ta nte or haslhave�produced • �
<br /> �a IdentlflcaBon. as Identlftcation. ��
<br /> tdotery Publlc . Nolary Publ(c
<br /> Commisslon No: Commission.Mo.
<br /> Name ot Idotary typed,p�lnted or stamped tdame of fdotery typed,printgd or stamped
<br />
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